Organization Active NPI

Rise Up Rehab, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Helotes, TX
National Provider Identifier
1346897709
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
RISE UP REHAB, LLC
Practice address
10410 Parrigin Rd
Helotes, TX 78023-4283
Phone
(210) 724-0505
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tiffany Dixon Gold, OT
Title
Administrator
Phone
(210) 724-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

10410 Parrigin Rd
Helotes, TX 78023-4283

Mailing address

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 724-0505

Other names 1

  • Rise Up Rehab, LLC - Helotes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827001464 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3274861497 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Converse, TX; San Antonio, TX; Shavano Park, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1346897709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321902",
            "telephone_number": "210-724-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 PARRIGIN RD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234283",
            "telephone_number": "210-724-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE UP REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-724-0505",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Up Rehab, LLC - Helotes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.